Little is known about survival outcomes of HIV patients on first-line antiretroviral therapy (ART) on a large-scale in India, or facility level factors that influence patient survival to guide further improvements in the ART program in India. We examined factors at the facility level in addition to patient factors that influence survival of adult HIV patients on ART in the publicly-funded ART program in a high- and a low-HIV prevalence state.
May 18, 2016
March 24, 2016
Evaluating facility-based antiretroviral therapy program effectiveness: a pilot study comparing viral load suppression and retention rates
Increased demand for antiretroviral therapy (ART) services combined with plateaued levels of development assistance for HIV/AIDS requires that national ART programs monitor program effectiveness. In this pilot study, we compared commonly utilized performance metrics of 12- and 24-month retention with rates of viral load (VL) suppression at 15 health facilities in Uganda.
January 26, 2016
Efficiency of health care production in low-resource settings: a Monte-Carlo simulation to compare the performance of Data Envelopment Analysis, Stochastic Distance Functions, and an ensemble model
Low-resource countries can greatly benefit from even small increases in efficiency of health service provision, supporting a strong case to measure and pursue efficiency improvement in low- and middle-income countries (LMICs). However, the knowledge base concerning efficiency measurement remains scarce for these contexts.
December 30, 2015
Patient satisfaction and perceived quality of care: evidence from a cross-sectional national exit survey of HIV and non-HIV service users in Zambia
In this study, we report findings from exit surveys of patients receiving HIV and non-HIV services at a diverse sample of facilities across Zambia.
October 26, 2015
The clock is ticking: the rate and timeliness of antiretroviral therapy initiation from the time of treatment eligibility in Kenya
Understanding the determinants of timely antiretroviral therapy (ART) initiation is useful for HIV programs intent on developing models of care that reduce delays in treatment initiation while maintaining a high quality of care. We analyzed patient- and facility-level determinants of time to ART initiation among patients who initiated ART in Kenya.
August 14, 2015
Patients receiving antiretroviral therapy (ART) require routine monitoring to track response to treatment and assess for treatment failure. This study aims to identify gaps in monitoring practices in Kenya and Uganda.
March 27, 2015
Antiretroviral therapy (ART) guidelines were significantly changed by the World Health Organization in 2010. It is largely unknown to what extent these guidelines were adopted into clinical practice.
January 28, 2015
This report draws from the Access, Bottlenecks, Costs, and Equity (ABCE) project in Ghana, a multipronged and multicountry research collaboration focused on understanding what drives and hinders health service provision
December 11, 2014
Pharmaceutical availability across levels of care: evidence from facility surveys in Ghana, Kenya, and Uganda
In this study we use facility-level data from nationally representative surveys conducted in Ghana, Kenya, and Uganda to understand pharmaceutical availability within the three countries
October 2, 2014
Health Service Provision in Kenya: Assessing Facility Capacity, Costs of Care, and Patient Perspectives
This report draws from the Access, Bottlenecks, Costs, and Equity (ABCE) project in Kenya, a multi-pronged and multi-country research collaboration focused on understanding what drives and hinders health service provision
October 2, 2014
Health Service Provision in Uganda: Assessing Facility Capacity, Costs of Care, and Patient Perspectives
This report draws from the Access, Bottlenecks, Costs, and Equity (ABCE) project in Uganda, a multi-pronged and multi-country research collaboration focused on understanding what drives and hinders health service provision.
October 2, 2014
Health Service Provision in Zambia: Assessing Facility Capacity, Costs of Care, and Patient Perspectives
This report draws from the Access, Bottlenecks, Costs, and Equity (ABCE) project in Zambia, a multi-pronged and multi-country research collaboration focused on understanding what drives and hinders health service provision.
August 30, 2014
This article estimates the causal effect of distance to health facility on in-facility birth in rural India, taking into account the endogenous placement of the health facility.We find that women living farther away from the health facilities are less likely to give birth at a health facility.
September 1, 2013
Rates of neonatal and maternal mortality are high in Ghana. In-facility delivery and other maternal services could reduce this burden, yet utilization rates of key maternal services are relatively low, especially in rural areas. We tested a theoretical implication that travel time negatively affects the use of in-facility delivery and other maternal services.
February 13, 2013
Nets, spray, or both? The effectiveness of insecticide-treated nets and indoor residual spraying in reducing malaria morbidity and child mortality in sub-Saharan Africa
These findings suggest that greater reductions in malaria morbidity and health gains for children may be achieved with ITNs and IRS combined beyond the protection offered by IRS or ITNs alone.
January 1, 2013
Incorporating loss to follow-up in estimates of survival among HIV-infected individuals in sub-Saharan Africa enrolled in antiretroviral therapy programs
Measuring the survival of human immunodeficiency virus–infected adult patients enrolled in antiretroviral therapy (ART) programs is complicated by short observation periods and loss to follow-up. We synthesized data from treatment cohorts in sub-Saharan Africa to estimate survival over 5 years after initiation of ART.
November 11, 2012
This engenders the hypothesis that population density positively affects coverage rates of health services. This hypothesis has been tested indirectly for some services at a local level, but not at a national level.
December 9, 2011
Effectiveness of diabetes and hypertension management by rural primary health-care workers (Behvarz workers) in Iran: a nationally representative observational study
Noncommunicable diseases and related risk factors are the leading causes of disease burden in Iran and other middle-income countries. High blood pressure caused 80,000 deaths in Iran in 2005, and hyperglycemia caused 34,000 deaths in that year.
October 10, 2011
Avahan, a program aimed at preventing HIV in India, averted an estimated 100,178 HIV infections between 2003 and 2008, according to researchers at IHME, the Public Health Foundation of India, the Ministry of Health and Family Welfare of India, and the University of Hong Kong.
September 6, 2011
Net benefits: a multicountry analysis of observational data examining associations between insecticide-treated mosquito nets and health outcomes
Children who live in households that own at least one insecticide-treated mosquito net (ITN), also known as bed nets, are less likely to be infected with malaria and less likely to die from the disease, according to new study.